Atherosclerosis has been widely defined as a systemic lowgrade inflammatory disease. This assumption is based on the evidence of increased inflammatory biomarkers in patients with advanced atherosclerosis, 1 and of a rich inflammatory infiltrate in atherosclerotic plaques, 2,3 influencing the natural history of the plaque itself and, subsequently, the probability of clinically relevant complications. 4 The complex interactions among inflammatory cells in the context of the atherosclerotic plaque, and with the other histological components of the plaque itself (such as lipid core, endothelium, fibrous cap), have been the focus of intense research in the past 50 years, establishing the notion that